2025-08-11T14:44:49+00:00 2024-09-30 440160260 Forvis Mazars LLP 910 E St Louis 200 PO Box 1190 Springfield MO 658062523 990 2023-10-01 222534389 RUTLAND REGIONAL HEALTH SERVICES FKA COMPREHENSIVE HEALTH RESOURCES INC RUTL 8027757111 160 ALLEN STREET RUTLAND VT 05701 JENNIFER A BERTRAND CFO 8027757111 2025-08-11 true true Brian Todd P00422601 4178658701 2025-08-11 2023 2025-03-06 01:10:19Z JUDI K FOX 160 ALLEN STREET RUTLAND VT 05701 4249522 false X WWW.RRMC.ORG X 1984 VT RRHS IS A COLLABORATIVE SYSTEM OF HEALTHCARE PROVIDERS OFFERING PRIMARY CARE, INPATIENT AND OUTPATIENT ACUTE CARE, REHABILITATION AND ASSISTED LIVING HOUSING. 11 11 0 21 0 0 108379 105818 1225696 1267782 924289 2169745 259046 -246722 2517410 3296623 0 0 0 0 761737 762607 0 0 0 863100 975015 1624837 1737622 892573 1559001 31083015 36646942 5249293 4704342 25833722 31942600 TO IMPROVE THE HEALTH OF THE RUTLAND REGION & SURROUNDING COMMUNITIES BY PROVIDING APPROPRIATE, SUPERIOR, INTEGRATED, PREVENTATIVE, DIAGNOSTIC & THERAPEUTIC HEALTH SERVICES IN A CARING ENVIRONMENT THROUGH THE STRENGTH OF OUR PEOPLE, TECHNOLOGY & RELATIONSHIPS. false false 1075897 1049198 RESPIRATORY SERVICES PROVIDED AT THE PINES - THE PINES AT RUTLAND CENTER FOR NURSING AND REHABILITATION, IS AFFILIATED WITH NATIONAL HEALTHCARE ASSOCIATES, A LEADING PROVIDER OF REHABILITATION AND LONG TERM CARE SERVICES IN THE NORTHEAST. NATIONAL AFFILIATED FACILITIES ARE DEDICATED TO THE PRINCIPLES OF KINDNESS, COMPASSION, SERVICE, AND EXCELLENCE. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 213936 218584 LIFELINE - RUTLAND REGIONAL MEDICAL CENTER'S LIFELINE PROGRAM IS A PERSONAL RESPONSE SYSTEM WHICH ALLOWS SUBSCRIBERS TO REMAIN IN THEIR HOMES, YET HAVE HELP AVAILABLE AT THE TOUCH OF A BUTTON, 24 HOURS A DAY, 7 DAYS A WEEK. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 189377 THE BRIDGES AND BEYOND PROGRAM OFFERS TRANSPORTATION SERVICES TO QUALIFIED PATIENTS LIVING IN RUTLAND COUNTY FOR DOCTOR'S APPOINTMENTS, PHARMACY VISITS AND SHOPPING AND ERRANDS BASED ON AVAILABILITY. BRIDGES AND BEYOND RIDE SERVICES ARE PROVIDED BY VOLUNTEERS WHO HAVE BEEN TRAINED AND SCREENED BY THE HOSPITAL. WHILE BRIDGES AND BEYOND TRIES TO ACCOMMODATE ALL REQUESTS, OUR ABILITY TO DO SO IS LIMITED BY VOLUNTEER AVAILABILITY, AND PRIORITIES GIVEN TO MEDICAL APPOINTMENTS. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 1479210 true true false true false false false false false true false false false true false false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true 24 0 true 0 false false false false false false false false false false false false X 11 11 false false true false false false false true true false false true true true true true true false false true true X JENNIFER A BERTRAND 8027757111 160 ALLEN STREET RUTLAND VT 057014560 Denise A Clark Vice Chair End 04/24; Chair Beg 04/24 1.0 1.0 X X 0 0 0 Joan F Gamble Secretary End 04/24; Vice Chair Beg 04/24 1.0 1.0 X X 0 0 0 Margo Jones Director End 04/24; Secretary Beg 04/24 1.0 1.0 X X 0 0 0 Mark K Foley Jr Chair End 04/24; Director Beg 04/24 1.0 1.0 X X 0 0 0 Bill Olsen Director 1.0 1.0 X 0 0 0 Daniel Doenges Director 1.0 1.0 X 0 0 0 Dick Courcelle Director End 04/24 1.0 1.0 X 0 0 0 Edward J Merrens MD Director End 04/24 1.0 1.0 X 0 0 0 Joseph Kraus Director End 04/24 1.0 1.0 X 0 0 0 Mark Alderman Director Begin 04/24 1.0 1.0 X 0 0 0 Mary M Beerworth MD Director 1.0 1.0 X 0 0 0 Matt Kinsman Director 1.0 1.0 X 0 0 0 Michael Dimeola MD Director End 04/24 1.0 40.0 X 0 563991 28934 Michael Gardner Director End 04/24 1.0 1.0 X 0 0 0 Michele Nelson Director 1.0 1.0 X 0 0 0 Paul Gallo Director 1.0 1.0 X 0 0 0 Phillip R Lapp MD Director End 05/24 1.0 40.0 X 0 421270 64164 Robert Riley Director End 10/23 1.0 1.0 X 0 0 0 S Patrick Bender MD Director End 11/23 1.0 1.0 X 0 0 0 Sara King Director End 04/24 1.0 1.0 X 0 0 0 Jennifer A Bertrand CFO Beg 12/23 1.0 40.0 X 0 13462 0 Judi K Fox INTERIM CFO END 12/23; PRESIDENT / CEO 1.0 40.0 X 0 635518 101855 Claudio Fort Former President / CEO 0.0 0.0 X 0 834628 10303 0 2468869 205256 0 true true false CROSS COUNTRY STAFFING INC PO BOX 404674 ATLANTA GA 303844674 TEMPORARY STAFF 530950 PHILIPS LIFELINE PO Box 403109 Atlanta GA 303843109 MEDICAL DEVICE SYSTEMS 145024 2 105818 105818 NET PATIENT SERVICE REVENUE 621400 1025583 1025583 LIFELINE REVENUE 900099 218584 218584 AFFILIATED ORGANIZATION RENT 900099 23615 23615 0 0 0 0 1267782 945420 945420 0 0 2177224 952899 1224325 0 1224325 1224325 LOSS ON INVESTMENT IN EQUITY INVESTEE 900099 -5522 -5522 LOSS ON EXTINGUISHMENT OF DEBT 900099 -241200 -241200 0 0 0 0 -246722 3296623 1267782 0 1923023 X 0 0 610210 493519 116691 116786 88759 28027 35611 28293 7318 787 787 36604 36604 28388 28388 723293 688894 34399 0 7685 7159 526 5025 2545 2480 4635 4635 89451 86279 3172 415 395 20 MEDICAL SUPPLIES & DRUGS 52254 52254 REPAIRS & MAINTENANCE 26478 26478 0 0 0 0 1737622 1479210 258412 0 0 0 1654401 1499850 0 0 33675 24541 0 0 0 0 0 0 0 0 1050623 388272 522363 292914 229449 229449 27873667 34504830 0 0 0 0 241200 0 31083015 36646942 70920 112631 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5178373 4591711 5249293 4704342 X 25833722 31942600 0 0 0 0 0 0 0 0 25833722 31942600 31083015 36646942 1559001 4549877 0 X false true X true false X X 1 RRMC 030183483 3 true 0 0 1 0 0 true false false false false false false false false false false false false false false true RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false false false false true false true false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY RUTLAND REGIONAL MEDICAL CENTER, A RELATED ORGANIZATION, PAID LOBBYING FEES OF $75,468 TO A PROFESSIONAL GOVERNMENT AFFAIRS AND COMMUNICATION STRATEGIES COMPANY. RUTLAND REGIONAL MEDICAL CENTER ALSO PAYS DUES TO THE AMERICAN HOSPITAL ASSOCIATION, THE VERMONT ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS, AND THE SOLE COMMUNITY COALITION. A PORTION OF DUES IS ATTRIBUTABLE TO LOBBYING: $ 18,713 VAHHS $ 12,152 AHA $ 12,500 SCC $ 803 340B HEALTH ------------ $ 44,168 229449 229449 36832 36832 0 256082 256082 0 229449 INV IN & ADV TO EQUITY INVESTEE 3225317 DUE TO AFFILIATES 1366394 4591711 7818112 4549877 0 4549877 3268235 28388 0 28388 3296623 1709234 0 0 1709234 28388 0 28388 1737622 Schedule D, Part X, Line 2 Uncertain Tax Positions MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. true true false true false false false false false Michael Dimeola MD Director End 04/24 0 517001 0 42000 0 4990 0 18266 0 10668 0 592925 0 0 Phillip R Lapp MD Director End 05/24 0 304102 0 91674 0 25494 0 34650 0 29514 0 485434 0 0 Claudio Fort Former President / CEO 0 71096 0 0 0 763532 0 10303 0 0 0 844931 0 0 Judi K Fox INTERIM CFO END 12/23; PRESIDENT / CEO 0 631482 0 1414 0 2622 0 67400 0 34455 0 737373 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation RUTLAND REGIONAL MEDICAL CENTER, A RELATED PARTY OF THE ORGANIZATION, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF RUTLAND REGIONAL HEALTH SERVICES' MANAGEMENT OFFICIAL: WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. Schedule J, Part I, Line 4a Severance or change-of-control payment DURING 2023, CLAUDIO FORT RECEIVED A SEVERANCE PAYMENT OF $741,125. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan RUTLAND REGIONAL MEDICAL CENTER, A RELATED PARTY OF THE ORGANIZATION, COVERS CLAUDIO D. FORT AND JUDI K FOX WITH A 457(F) SUPPLEMENTAL RETIREMENT AGREEMENT (SERP). IN THE CURRENT YEAR, A CONTRIBUTION IN THE AMOUNT OF $7,106 FOR CLAUDIO FORT AND A CONTRIBUTION WAS MADE IN THE AMOUNT OF $32,750 FOR JUDI K. FOX. Schedule J, Part I, Line 5a Compensation contingent on revenues of the organization PHYSICIANS EARN COMPENSATION BASED UPON THEIR PRODUCTIVITY AGAINST PRIOR YEAR BENCHMARKS. INCREASED PRODUCTIVITY IS DIRECTLY RELATED TO INCREASED REVENUES FOR THE ORGANIZATION. Form 990, Part I, Line 1 Organization's Mission MISSION STATEMENT: TO IMPROVE THE HEALTH OF THE RUTLAND REGION AND SURROUNDING COMMUNITIES BY PROVIDING APPROPRIATE, SUPERIOR, INTEGRATED, PREVENTATIVE, DIAGNOSTIC AND THERAPEUTIC HEALTH SERVICES IN A CARING ENVIRONMENT THROUGH THE STRENGTH OF OUR PEOPLE, TECHNOLOGY AND RELATIONSHIPS. VISION STATEMENT: TO BE THE BEST COMMUNITY HEALTHCARE SYSTEM IN NEW ENGLAND. Form 990, Part I, Line 6 Total Number of Volunteers THE TOTAL NUMBER OF VOLUNTEERS INCLUDES NON-COMPENSATED MEMBERS OF THE BOARD OF DIRECTORS. BOARD MEMBERS COMPENSATED THROUGH A RELATED ORGANIZATION ARE CONSIDERED VOLUNTEERS, AS THEIR COMPENSATION IS NOT CONTINGENT ON THEM BEING A RUTLAND REGIONAL HEALTH SERVICE BOARD MEMBER. Form 990, Part III, Line 1 3 Exempt Purpose Achievements RUTLAND REGIONAL HEALTH SERVICES (RRHS) IS A COLLABORATIVE SYSTEM OF HEALTH CARE PROVIDERS OFFERING EDUCATION, SPECIALTY CLINICS, INPATIENT AND OUTPATIENT ACUTE CARE, REHABILITATION AND ASSISTED LIVING HOUSING. RRHS IS THE HOLDING COMPANY OF RUTLAND HOSPITAL, INC., DBA RUTLAND REGIONAL MEDICAL CENTER (RRMC). INFORMATION ABOUT THE ORGANIZATION'S EXEMPT PURPOSE ACHIEVEMENTS IS PROVIDED BELOW. IN ADDITION, THE RRMC FY 2024 COMMUNITY BENEFIT REPORT IS INCLUDED. *LIFELINE - RUTLAND REGIONAL MEDICAL CENTER'S LIFELINE PROGRAM IS A PERSONAL RESPONSE SYSTEM WHICH ALLOWS SUBSCRIBERS TO REMAIN IN THEIR HOMES, YET HAVE HELP AVAILABLE AT THE TOUCH OF A BUTTON, 24 HOURS A DAY, 7 DAYS A WEEK. *RESPIRATORY SERVICES PROVIDED AT THE PINES - THE PINES AT RUTLAND CENTER FOR NURSING & REHABILITATION, IS AFFILIATED WITH NATIONAL HEALTHCARE ASSOCIATES, A LEADING PROVIDER OF REHABILITATION AND LONG TERM CARE SERVICES IN THE NORTHEAST. NATIONAL AFFILIATED FACILITIES ARE DEDICATED TO PRINCIPLES OF KINDNESS, COMPASSION, SERVICE, AND EXCELLENCE. THE CENTER OFFERS STATE OF-THE-ART PULMONARY REHABILITATION CONSISTING OF AN INDIVIDUALIZED, INTERDISCIPLINARY TREATMENT MODEL DESIGNED TO MAXIMIZE THE FUNCTIONAL ABILITIES AND SELF-CARE SKILLS OF PERSONS WITH PULMONARY DISORDER. EARLY INTERVENTION FOCUSES ON MEDICAL MANAGEMENT AND STABILIZATION OF THE UNDERLYING DISEASE PROCESS. A SPECIALLY TRAINED RESPIRATORY THERAPIST PERFORMS AN INITIAL EVALUATION ON EACH PATIENT THAT ENCOMPASSES THEIR CLINICAL NEEDS AND REHABILITATION POTENTIAL. THIS INDIVIDUALIZED ANALYSIS ALLOWS FOR THE INTEGRATION OF SPECIFIC RESPIRATORY CARE GOALS INTO THE PATIENT'S OVERALL TREATMENT PLAN. *IN ADDITION TO THE THREE LARGEST PROGRAM SERVICES DESCRIBED ABOVE, THE ORGANIZATION ALSO HAS PROGRAM SERVICE ACTIVITIES AT THE MEADOWS AT EAST MOUNTAIN AND THE GABLES AT EAST MOUNTAIN. THE MEADOWS IS A UNIQUE, PLANNED COMMUNITY DESIGNED TO PROVIDE SENIOR ADULTS WITH THE COMFORTS OF HOME WHILE OFFERING A VARIETY OF QUALITY SERVICES THAT WILL ALLOW THEM TO LIVE GRACIOUSLY AND INDEPENDENTLY. WE PROVIDE ASSISTED LIVING ARRANGEMENTS FOR THOSE WHO MAY NEED SOME HELP WITH THEIR EVERYDAY LIVES, AND MEDICAL ATTENTION IS AVAILABLE 24 HOURS A DAY. SERVICES INCLUDE TRANSPORTATION, SOCIAL AND RECREATIONAL PLANNING, BEAUTY PARLOR, LIBRARY, COURTYARD, ENTERTAINMENT, GAMES, ARTS & CRAFTS AND EXERCISE PROGRAMS. THE COMMUNITY HOLDS A SPECIAL CARE UNIT THAT SPECIALIZES IN MEETING THE NEEDS OF DEMENTIA VICTIMS AND ALSO SERVICES THOSE RESIDENTS WHO HAVE INCREASED PHYSICAL DEMANDS. THE GABLES IS A RETIREMENT COMMUNITY WHERE INDIVIDUALS HAVE THE AMENITIES AND SERVICES TO ALLOW THEM TO AGE HAPPILY AND COMFORTABLY. SERVICES INCLUDE A FULL MEAL PROGRAM, HOUSEKEEPING, LOCAL TRANSPORTATION, MAINTENANCE, ACTIVITY PROGRAMS, A WELLNESS COORDINATOR, AND AN EMERGENCY RESPONSE SYSTEM. *RUTLAND REGIONAL MEDICAL CENTER FY 2024 COMMUNITY BENEFITS REPORT: RUTLAND REGIONAL MEDICAL CENTER IS COMMITTED TO PROVIDING SUPERIOR, INTEGRATED, DIAGNOSTIC, THERAPEUTIC AND PREVENTATIVE HEALTH SERVICES AND TO PROMOTING OVERALL COMMUNITY HEALTH AND WELL-BEING. COMMUNITY BENEFITS ARE THE ACTIVITIES AND SERVICES RUTLAND REGIONAL ENGAGES IN AND SUPPORTS THAT GO BEYOND THE ROUTINE PATIENT CARE SERVICES. DOCUMENTING THESE EFFORTS IS PART OF WHAT DIFFERENTIATES TAX-EXEMPT FORM TAXABLE HEALTH CARE ORGANIZATIONS. FREE AND DISCOUNTED CARE RUTLAND REGIONAL PROVIDES LOW AND NO-COST CARE FOR ELIGIBLE RESIDENTS OF OUR AREA THROUGH A FINANCIAL ASSISTANCE PROGRAM. THE FREE CARE PROVISION FOR 2024 TOTALED $7,773,340. RRMC IS ADDRESSING THE KEY ISSUES THAT HAVE THE MOST SIGNIFICANT IMPACT ON THE COMMUNITY HEALTH AND WELL-BEING, WHICH INCLUDE THE FOLLOWING: *CLINICAL CARE -CONTINUING TO ADDRESS THE DRUG PROBLEM IN THE COMMUNITY THROUGH MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES FOR ADULTS AND YOUTH, INCLUDING TREATMENT, AFTERCARE AND PREVENTION. -CONTINUING TO IMPROVE ACCESS TO CARE FOR ALL COMMUNITY MEMBERS BY CONTINUING FOCUSED PROVIDER RECRUITMENT AND RETENTION ACTIVITIES. *HEALTHY BEHAVIORS -IMPROVING AND PROMOTING HEALTHY CHOICES AND ACTIVITIES TO SUPPORT A HEALTHY COMMUNITY IN WHICH TO LIVE AND RAISE A FAMILY, BY SUPPORTING AND PROMOTING LIFE SKILLS DEVELOPMENT FOR AND BY YOUTH, AND PHYSICAL ACTIVITY AND HEALTHY EATING BY ADULTS AND YOUTH. *SOCIAL & ECONOMIC DETERMINANTS -IMPROVING THE HEALTH AND WELL-BEING OF THE COMMUNITY, MAKING IT AN ATTRACTIVE PLACE TO LIVE AND WORK. *PHYSICAL ENVIRONMENT -IMPROVING INFRASTRUCTURE TO SUPPORT A HEALTHY COMMUNITY WITH ACCESS TO WORK, RECREATIONAL OPPORTUNITIES AND SERVICES. FOR MORE DETAILS ON THESE ACTIVITIES AND THE WORK PERFORMED BY RUTLAND REGIONAL WITH COMMUNITY PARTNERS, PLEASE REVIEW THE PROGRESS REPORT ON HTTP://WWW.RRMC.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/. IN ADDITION TO THESE ACTIVITIES, RUTLAND REGIONAL IS NOW REQUIRED BY FEDERAL REGULATIONS TO CONDUCT A COMMUNITY NEEDS ASSESSMENT EVERY THREE YEARS. THE RUTLAND COUNTY HEALTH NEEDS ASSESSMENT STEERING COMMITTEE WORKED HARD TO BE INCLUSIVE, BOTH IN THE INFORMATION COLLECTED AND REVIEWED, AND BY BROADLY REQUESTING INPUT FROM AROUND OUR COMMUNITIES. FROM START TO FINISH, THE ASSESSMENT TAKES ABOUT ONE YEAR TO COMPLETE, AND INCLUDES COMPILATION OF SECONDARY DATA FROM OTHER SOURCES, COLLECTING INDIVIDUAL INPUT THROUGH CONSUMER SURVEYS AND THROUGH FOCUS GROUP MEETINGS. ALL OF THE INFORMATION GATHERED IS REVIEWED, AND PRIORITIZED BY A BROAD, COMMUNITY-BASED COMMITTEE. A FINAL REPORT HAS NOW BEEN PUBLISHED WITH THE FINDINGS. THIS REPORT IS MADE PUBLICLY AVAILABLE ON WWW.RRMC.ORG. THE PURPOSE OF THE ASSESSMENT IS TO: -DESCRIBE THE HEALTH STATUS OF THE COMMUNITY -IDENTIFY THE COMMUNITY'S HEALTH NEEDS -COMPARE THE NEEDS TO THOSE IDENTIFIED PREVIOUSLY CONDUCTING ASSESSMENTS PERIODICALLY FOR MORE THAN 15 YEARS, WE HAVE SEEN SOME HEALTH INDICATORS IMPROVE AND OTHERS DECLINE. BY MONITORING THESE CHANGES, THE COMMITTEE IS ABLE TO IDENTIFY WHERE ADDITIONAL RESOURCES ARE NEEDED. ORGANIZATIONS, INCLUDING RUTLAND REGIONAL, USE THIS IMPORTANT INFORMATION TO GUIDE THEIR PLANNING. FOR RUTLAND REGIONAL SPECIFICALLY, IT HELPS WITH THE DEVELOPMENT OF NEW HOSPITAL SERVICES AND COMMUNITY PROGRAMS. Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES THE FOLLOWING POLICY APPLIES TO THE OFFICERS AND KEY EMPLOYEES OF RUTLAND REGIONAL MEDICAL CENTER (RRMC): -IT IS THE POLICY OF RRMC TO OFFER MARKET-COMPETITIVE PAY SO TO ATTRACT AND RETAIN THE BEST TALENT FROM OUR LABOR MARKET. -DESIGNATION OF RRMC' KEY EMPLOYEES IS MADE IN ACCORDANCE WITH THE PREVAILING IRS KEY EMPLOYEE DEFINITION. -THE RRMC KEY EMPLOYEE LABOR MARKET IS TYPICALLY ALL HOSPITALS WITH SIMILAR REVENUES, STAFFED BEDS, EMPLOYEE FULL-TIME EQUIVALENTS, OR REGIONAL GEOGRAPHY AS RRMC. -KEY EMPLOYEE COMPENSATION IS REVIEWED ANNUALLY USING THREE SOURCES OF INDEPENDENT COMPETITIVE MARKET DATA. -PERIODICALLY AN INDEPENDENT CONSULTANT ENGAGED BY THE ORGANIZATION WILL CONDUCT THE ANNUAL REVIEW. OTHERWISE THE REVIEW WILL BE PERFORMED BY HUMAN RESOURCES. -JOBS HELD BY KEY EMPLOYEES ARE MATCHED WITH SIMILAR JOBS IN MARKET DATA WITH AN INDICATION OF JOB MATCH STRENGTH (WEAK, MODERATE OR STRONG). -THE MARKET REVIEW PRODUCES A REPORT OF KEY EMPLOYEE CURRENT TOTAL CASH COMPENSATION VS. MARKET MEDIAN TOTAL CASH COMPENSATION AND ANY RECOMMENDED PAY ACTIONS. -GENERALLY SPEAKING, KEY EMPLOYEE BASE PAY VARIANCES OF -5% VS. MARKET MEDIAN TOTAL CASH COMPENSATION ARE CONSIDERED FOR A BASE PAY INCREASE. -THE RESULTS OF THE REVIEW AND RECOMMENDED PAY ACTIONS ARE REVIEWED AND APPROVED BY THE ORGANIZATION. - THE PRESIDENT AND CEO PAY IS ALSO APPROVED BY THE BOARD OF DIRECTORS. Form 990, Part VI, Line 4 Significant changes to organizational documents CHANGES TO BOARD OF DIRECTOR'S STRUCTURE THE NUMBER OF DIRECTORS DECREASED FROM 19 MEMBERS TO 11 MEMBERS. THE DIRECTORS SHALL BE ELECTED OR DESIGNATED AS FOLLOWS. THE DIRECTORS SHALL BE MEMBERS OF THE CORPORATION AND MEET THE CRITERIA SET FORTH BY THE CORPORATION TO BE ELECTED BY THE MEMBERS, ONE OF WHICH SHALL BE THE CHAIR OF THE HOSPITAL BOARD OF DIRECTORS FOR SO LONG AS THAT PERSON HOLDS OFFICE, AND ONE OF WHICH SHALL BE THE VICE CHAIR OF THE HOSPITAL BOARD OF DIRECTORS, FOR SO LONG AS THAT PERSON HOLDS OFFICE. CHANGES TO BOARD OF DIRECTOR'S POWER THE BOARD DESIGNATES, UNTIL REVOKED BY A 2/3RD MAJORITY VOTE OF THE BOARD OF THE CORPORATION, OVERSIGHT OF THE CORPORATION'S INVESTMENT ASSETS, MANAGEMENT OF ITS INVESTMENT ASSETS PORTFOLIO, AND MANAGEMENT OF ITS INVESTMENT POLICY, TO THE INVESTMENT ADVISORY COMMITTEE OF THE HOSPITAL, WITH THE COMMITTEE TO REPORT TO THE CORPORATION'S BOARD AT LEAST BI-ANNUALLY. THE BOARD'S POWER TO APPROVE PURCHASE AND SALE OF ALL SIGNIFICANT ASSETS HAS BEEN MODIFIED TO APPROVE THE PURCHASE OR SALE OF ANY SIGNIFICANT ASSET(S) OUT OF THE ORDINARY COURSE OF BUSINESS. ADDITION OF NEW ARTICLES THE CORPORATION ADDED THE FOLLOWING NEW ARTICLES TO THE BYLAWS: ARTICLE VIII, CONFLICT OF INTEREST AND ARTICLE X, LIMITED ACTIVITIES. CHANGES TO STANDING COMMITTES EXECUTIVE/FINANCE COMMITTEE, INVESTMENT ADVISORY COMMITTEE, AUDIT AND COMPLIANCE COMMITTEE WERE REMOVED FROM THE BYLAWS. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. A DRAFT COPY IS THEN REVIEWED BY TOP MANAGEMENT. ONCE A FINAL DRAFT IS COMPLETE, IT IS ELECTRONICALLY AVAILABLE TO EACH MEMBER OF THE EXECUTIVE FINANCE COMMITTEE. THE COMMITTEE MEETS TO REVIEW AND DISCUSS THE RETURN WITH A TAX ADVISOR. AFTER APPROVAL, A FINAL 990 DRAFT WILL BE PROVIDED TO ALL BOARD MEMBERS. Form 990, Part VI, Line 12c Conflict of interest policy ANNUALLY, ALL ORGANIZATION LEADERS REVIEW THE SYSTEM-WIDE CONFLICT OF INTEREST POLICY TO ENSURE ALL CONFLICTS ARE MADE KNOWN. SEE THE POLICY BELOW. POLICY *DUTY TO DISCLOSE IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF HIS OR HER FINANCIAL INTEREST AND MUST BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS, OR OTHER INDIVIDUALS WHO, ON BEHALF OF THE CORPORATION, ARE CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. *DUTY TO VOICE CONCERN IN THE EVENT THAT AN INTERESTED PERSON BECOMES CONCERNED THAT ANOTHER INTERESTED PERSON WHO IS A BOARD MEMBER, PRINCIPAL OFFICER OR MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS HAS AN UNDISCLOSED FINANCIAL INTEREST, THIS CONCERN SHOULD BE RAISED WITH THE CHAIR OF THE APPROPRIATE BOARD OR COMMITTEE OR, IF INVOLVING A MEMBER OF LEADERSHIP COUNCIL, A DIRECTOR OR MANAGER OR OTHER INTERESTED PERSON, AN APPROPRIATE CORPORATE OFFICER. *DETERMINING WHETHER A CONFLICT OF INTEREST EXISTS AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON BY THE REMAINING BOARD OR COMMITTEE MEMBERS. HOWEVER, IN NO EVENT SHALL AN INTERESTED PERSON PARTICIPATE IN THE DELIBERATION AND/OR DETERMINATION OF COMPENSATION THAT HE/SHE WILL RECEIVE FORM THE CORPORATION FOR EMPLOYMENT, PROFESSIONAL CONTRACT OR OTHERWISE. *DEFINITIONS INTERESTED PERSON - FOR THE PURPOSES OF THIS POLICY, AN INTERESTED PERSON IS ANY BOARD MEMBER, PRINCIPAL OFFICER, MEMBER OF THE LEADERSHIP COUNCIL, DIRECTOR, OR MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS, WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST. IF ANY INDIVIDUAL IN AN INTERESTED PERSON WITH RESPECT TO ANY ENTITY IN THE RRMC/RRHS HEALTH CARE SYSTEM, HE OR SHE IS AN INTERESTED PERSON WITH RESPECT TO ALL ENTITIES IN THE HEALTH CARE SYSTEM. *PROCEDURES PROCEDURES FOR ADDRESSING THE CONFLICT OF INTEREST AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING, BUT AFTER SUCH PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULT IN THE CONFLICT OF INTEREST. THE CHAIRPERSON OF THE BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER EXERCISING DUE DILIGENCE, INCLUDING A CONSIDERATION OR INDEPENDENT COMPARABILITY DATA, VALUATIONS OR APPRAISALS, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE CORPORATION CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE CORPORATION'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE. IN CONFORMITY WITH THE ABOVE DETERMINATION IT SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. *ANNUAL STATEMENTS AWARENESS/COMPLIANCE WITH POLICY - EACH INTERESTED PERSON SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON HAS RECEIVED A COPY OF THIS CONFLICTS OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY; HAS AGREED TO COMPLY WITH THE POLICY; AND UNDERSTANDS THAT THE CORPORATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST BE ENGAGED PRIMARILY IN ACTIVITIES THAT ACCOMPLISH ONE OR MORE OF ITS TAX EXEMPT PURPOSES. CONFLICT OF INTEREST SURVEY - EACH INTERESTED PERSON SHALL DISCLOSE ON AN ANNUAL SURVEY FORM POTENTIAL CONFLICTS OF INTEREST AND FINANCIAL INTERESTS RELEVANT TO THIS POLICY. Form 990, Part VI, Line 19 Required documents available to the public CONSOLIDATED FINANCIAL STATEMENTS ARE AVAILABLE ANNUALLY IN THE ANNUAL REPORT, AND ARE ALSO AVAILABLE UPON WRITTEN REQUEST. THE CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE ALSO AVAILABLE UPON WRITTEN REQUEST. ALL REQUESTS MUST BE FOR A LEGITIMATE BUSINESS PURPOSE (AS DETERMINED BY TOP MANAGEMENT), AND REQUESTED DOCUMENTS WILL BE MAILED. Form 990, Part VII, Section A, Line 1a, Column (E) Board Members Receiving Compensation NO BOARD MEMBERS RECEIVE COMPENSATION FOR THEIR DUTIES AS DIRECTORS. BOARD MEMBERS WHO RECEIVE COMPENSATION FROM RUTLAND REGIONAL MEDICAL CENTER FOR SERVICES PERFORMED AS PHYSICIANS ARE THE FOLLOWING: - MICHEAL DIMEOLA, M.D. - PHILIP LAPP, M.D. Form 990, Part IX, Line 7 & Part V, Line 2, W-2s Filed by a Related Organization THE SALARIES REPORTED ON THE STATEMENT OF FUNCTIONAL EXPENSES ARE PAID BY A RELATED ORGANIZATION, RUTLAND REGIONAL MEDICAL CENTER, ACTING AS A PAYROLL AGENT. ALL W-2S ARE FILED BY THE RELATED ORGANIZATION. Form 990, Part IX, Line 11g Other Fees CONTRACTED STAFF - Total Expense: 523319, Program Service Expense: 523319, Management and General Expenses: , Fundraising Expenses: ; MEDICAL DEVICE SYSTEMS - Total Expense: 165575, Program Service Expense: 165575, Management and General Expenses: , Fundraising Expenses: ; OTHER PURCHASED SERVICES - Total Expense: 34399, Program Service Expense: , Management and General Expenses: 34399, Fundraising Expenses: ; RUTLAND REGIONAL MEDICAL CENTER 160 ALLEN STREET RUTLAND VT 05701 030183483 HOSPITAL VT 501(c)(3) 3 RRHS true THE MEADOWS AT EAST MOUNTAIN 240 GABLES PLACE RUTLAND VT 05701 030330343 ELDER CARE VT RRHS Related 65161 1707656 false false 0.5000 THE GABLES AT EAST MOUNTAIN ONE GABLES PLACE RUTLAND VT 05701 030358050 ELDER CARE VT RRHS Related 89888 1054496 false false 0.5000 true false false false false false false false false true false false false false false false true false false RUTLAND REGIONAL MEDICAL CENTER A 23615 FMV